HomeMy WebLinkAboutProject Information RECEI�'!�(� ANST LUCIE COUNTI'UTILITIES P O BOX 728;FT PIERCE,FL 3d982,`�
NAME [ Cr' i�L.:A
St. Lucie County - PCISACCT # a t ,
01-19-2017 04.13:58
16540/46 6 SERVICE ADDRESS, l i i ti`�Iti ,
57RACI NICN �LAS i -7777
11
FORT PIEPALRCER 1
I -
1 c 1
Amount Tendered: 521.25 SUBDIVISION LOT BLOCK
Amount Paid: 521 .25 BILI ING ADDRESS' ` N
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Chane Due: 0.00
Thank You
IPHONEMOVE IN/CLOSING DATE
User ID: MURRAYA
This application hereby request and authorizesahe Utility to render water and/or'sewage.disposal
services to the premises describedabove m accordance withprese
th e Util7ttes nt or future rate
s;
rules and regulations,which by reference are made apart of this`contract Applicant agrees to pay
SALE AMOUNT ���,� the Utility promptly for such,services m accordance with the'estabhshed rules and regaIations.'
CUS'T'OMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE ,
SOCIAS SECT
S' CUSTOMER COPY FED ID
N ,SROUSRSOCIAL SEC:
USEONLY
DATE RECEIVED..J �:
C S`H -:V— � CHK# RECEIVED BY